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住院记录翻译

发布者:鑫达医学翻译 发布时间:2012-12-16阅读:

The patient suddenly suffered from memory loss on Oct.10, 2007, which was manifested by indifference, silence, recent hypomnesia, and incognizance of the family. MR scan of the head was conducted in the Department of Neurology in the Second Hospital of Ningbo City, which indicated abnormal lesions in the left frontal lobe together with T1WI low signal intensity and T2WI high signal intensity. The patient was preliminary diagnosed as cerebral infarction. The symptoms improved 10 days after conservative treatment. 

Since 2008, the patient started to suffer focal seizures in the right upper limb. Additionally, the patient showed no consciousness disorders, amaurosis, vomiting, tic of limbs or coma during the limb seizures. The limb seizures lasted for 30 seconds, and were spontaneously relieved. However, frequent recurrence (more than 10 times) was reported in 2 days. The MR scan demonstrated the  lesion size of the head was basically the same as the previous one. Oral medication of anti-epileptics was given according to the medical orders. In 2009, the similar symptoms appeared again. A MR scan of the head was conducted annually, which showed that no significant progression was observed. Accordingly, conservative treatments and MR scan were given. 

On Apr. 12, 2010, similar symptoms reappeared, which was characterized by seizures in the right upper limb, accompanied with right deviation of the neck, gas pains in the head, hypomnesis, and decreased ability in verbalization. MR scan of the head was re-conducted, and the results suggested a left frontal lobe lesion with T1WI low signal intensity and T2WI high signal intensity. Subsequently, enhanced scanning was performed after the injection of the contrast, which indicated the lesion was insignificantly enhanced. In addition, the tumor size showed significant increase compared with those of the previous image. MRS of the head showed an increased cho peak and decreased NAA peak. Therefore, low-grade glioma was considered. The patient was admitted to our department for further diagnosis and therapy.        

    

 

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